PROGRESSIVE CARE RN A V1
COMPREHENSIVE CERTIFICATION
EXAMINATION 2026 FULL QUESTIONS AND
CORRECT ANSWERS
◉ What MUST be taken into consideration when interpreting clinical
findings in the elderly patient?
Answer: -the coexistence of several disease processes + diminished
reserves of body systems results in more RAPID
PHYSIOLOGIC DETERIORATION
◉ When inquiring about the use and abuse of caffeine,
alcohol, tobacco and other substances, questions are aimed at
determining what?
Answer: -the frequency, amount and duration of use
◉ Information revealed during the social history can be verified
during the physical assessment by:
Answer: -presence of needle track marks
-nicotine stains on teeth and fingers
-smell ETOH on breath
,◉ Why should patients be asked about physical and emotional
safety in their home environment?
Answer: -to uncover potential domestic or elder abuse
◉ What are the primary body systems that aging effects?
Answer: -Nervous
-Cardiovascular/Circulatory
-Respiratory
-Renal
-GI
-Endocrine, Hematologic & Immunologic
-Skin
-Musculoskeletal
-Psycho-social
◉ Identify specific effects aging has on the NERVOUS system.
Answer: -diminished hearing and vision
-ST memory loss
-altered motor coordination
-decreased muscle tone and strength
-slower response to verbal and motor stimuli
, -decreased ability to synthesize new information
-increased sensitivity to altered temperature states
-increased sensitivity to sedation (confusion/agitation)
-decreased alertness states
-nerve cells transmit more slowly
-increased incidence intracerebral hematomas (due to
anticoagulant use)
◉ How does nerve cells that transmit more slowly effect the body of
an older patient?
Answer: -reduces reflexes
-reduces sensation
-problems with movement & safety
-reduced pain perception and control
◉ Brain tissue atrophy results in the following:
Answer: -stretching parasagittal bridging veins (making them more
susceptible to rupture
-additional space in cranial vault (that allows bleeding to
accumulate before S/Sx of increased ICP present)
-higher incidence of chronic subdural hematomas
COMPREHENSIVE CERTIFICATION
EXAMINATION 2026 FULL QUESTIONS AND
CORRECT ANSWERS
◉ What MUST be taken into consideration when interpreting clinical
findings in the elderly patient?
Answer: -the coexistence of several disease processes + diminished
reserves of body systems results in more RAPID
PHYSIOLOGIC DETERIORATION
◉ When inquiring about the use and abuse of caffeine,
alcohol, tobacco and other substances, questions are aimed at
determining what?
Answer: -the frequency, amount and duration of use
◉ Information revealed during the social history can be verified
during the physical assessment by:
Answer: -presence of needle track marks
-nicotine stains on teeth and fingers
-smell ETOH on breath
,◉ Why should patients be asked about physical and emotional
safety in their home environment?
Answer: -to uncover potential domestic or elder abuse
◉ What are the primary body systems that aging effects?
Answer: -Nervous
-Cardiovascular/Circulatory
-Respiratory
-Renal
-GI
-Endocrine, Hematologic & Immunologic
-Skin
-Musculoskeletal
-Psycho-social
◉ Identify specific effects aging has on the NERVOUS system.
Answer: -diminished hearing and vision
-ST memory loss
-altered motor coordination
-decreased muscle tone and strength
-slower response to verbal and motor stimuli
, -decreased ability to synthesize new information
-increased sensitivity to altered temperature states
-increased sensitivity to sedation (confusion/agitation)
-decreased alertness states
-nerve cells transmit more slowly
-increased incidence intracerebral hematomas (due to
anticoagulant use)
◉ How does nerve cells that transmit more slowly effect the body of
an older patient?
Answer: -reduces reflexes
-reduces sensation
-problems with movement & safety
-reduced pain perception and control
◉ Brain tissue atrophy results in the following:
Answer: -stretching parasagittal bridging veins (making them more
susceptible to rupture
-additional space in cranial vault (that allows bleeding to
accumulate before S/Sx of increased ICP present)
-higher incidence of chronic subdural hematomas
